针对有行为问题的西班牙裔青少年开展的“联合家庭”随机对照试验。
A randomized controlled trial of Familias Unidas for Hispanic adolescents with behavior problems.
作者信息
Pantin Hilda, Prado Guillermo, Lopez Barbara, Huang Shi, Tapia Maria I, Schwartz Seth J, Sabillon Eduardo, Brown C Hendricks, Branchini Jennifer
机构信息
Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, 1425 N.W. 10 Ave., 3 floor, Miami, FL 33136, USA.
出版信息
Psychosom Med. 2009 Nov;71(9):987-95. doi: 10.1097/PSY.0b013e3181bb2913. Epub 2009 Oct 15.
Abstract
OBJECTIVE
To evaluate the efficacy of Familias Unidas, a Hispanic-specific, parent-centered intervention, in preventing/reducing adolescent substance use, unsafe sexual behavior, and externalizing disorders.
METHODS
A total of 213 8th grade Hispanic adolescents with behavior problems and their primary caregivers were assigned randomly to one of two conditions: Familias Unidas or Community Control. Participants were assessed at baseline and at 6, 18, and 30 months post baseline.
RESULTS
Results showed that, relative to a Community Control condition, Familias Unidas was efficacious in preventing or reducing externalizing disorders, preventing and reducing substance use, and in reducing unsafe sexual behavior. The effects of Familias Unidas on these outcomes were partially mediated by improvements in family functioning.
CONCLUSIONS
These findings suggest that parent-centered intervention is an efficacious strategy for preventing/reducing specific health risk behaviors in Hispanic adolescents with behavior problems.
摘要
目的
评估“联合家庭”（一种针对西班牙裔、以家长为中心的干预措施）在预防/减少青少年药物使用、不安全性行为及外化性障碍方面的效果。
方法
共有213名有行为问题的八年级西班牙裔青少年及其主要照顾者被随机分配到两种情况之一：“联合家庭”组或社区对照组。在基线时以及基线后6个月、18个月和30个月对参与者进行评估。
结果
结果显示，相对于社区对照组，“联合家庭”在预防或减少外化性障碍、预防和减少药物使用以及减少不安全性行为方面有效。“联合家庭”对这些结果的影响部分是通过家庭功能的改善来介导的。
结论
这些发现表明，以家长为中心的干预是预防/减少有行为问题的西班牙裔青少年特定健康风险行为的有效策略。
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